Wolfgram, Dereck
Wolfgram, Dereck is an sole proprietor health care provider with primary practice located at 1230 Corporate Center Dr Ste 100 , Oconomowoc WI 53066-4883. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Wolfgram, Dereck can be contacted via phone (262) 999-3495.Contact Information
Primary practice address
1230 Corporate Center Dr Ste 100
Oconomowoc WI 53066-4883
Phone: (262) 999-3495
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9365-123 | Wisconsin |
Profile Details
| NPI number | 1174093744 |
|---|---|
| LBN Legal business name | Wolfgram, Dereck |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2018 |
| Last updated | Feb 20th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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